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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NUTRITIONAL WEIGHT AND WELLNESS
NPI 1700024890
Dietitian, Registered in Saint Paul, MN

Active since January 27, 2009
45 SNELLING AVE N, SAINT PAUL, MN 55104(651) 699-3438(651) 695-0191 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Oct 8, 2026, Jul 2, 2018 and 1 more (4 updates tracked since 2018).

About Nutritional Weight And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRITIONAL WEIGHT AND WELLNESS (NPI 1700024890) is a healthcare organization registered as a dietitian, registered in Saint Paul, Minnesota and active in the NPI registry since January 2009. The organization maintains 4 additional practice locations and lists Dustin Wallisch, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1700024890
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNUTRITIONAL WEIGHT AND WELLNESS
Location Address45 SNELLING AVE NSaint Paul, MN 55104
Mailing Address45 Snelling Ave NSaint Paul, MN 55104-6842 · (651) 699-3438 · Fax (651) 695-0191
Phone(651) 699-3438
Fax(651) 695-0191
Organization SubpartNo
Authorized OfficialDustin WallischBilling/credentialing · (651) 288-2709
Enumeration DateJanuary 27, 2009
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1700024890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · N150
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
45 SNELLING AVE N, Saint Paul, MN 55104
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Secondary Practice Locations 4

Location 19509 Blackoaks Ln NMaple Grove, MN 55311-1229 · Phone (763) 657-1730 · Fax (651) 305-0183
Location 21605 Queens Dr Ste 104Woodbury, MN 55125-1741 · Phone (651) 288-2700 · Fax (651) 305-0183
Location 33420 Denmark AveEagan, MN 55123-1088 · Phone (952) 232-4990 · Fax (651) 305-0183
Location 4708 Cleveland Ave SSaint Paul, MN 55116-1319 · Phone (651) 699-3438 · Fax (651) 695-0191

Other Identifiers 1

Other02D10NUMN · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nutritional Weight And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nutritional Weight And Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brandy Buro, MS, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1083387559
45 SNELLING AVE N
Saint Paul, MN 55104
(651) 699-3438
Same address
Melanie Beasley, RD
Registered Dietitian or Nutrition Professional
NPI 1003367673
461 STONEWOOD LN
Burnsville, MN 55306
(952) 484-1137
16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutritional Weight And Wellness's NPI number?

The NPI number for Nutritional Weight And Wellness is 1700024890. It was assigned to this organization in the NPPES registry on January 27, 2009.

Where is Nutritional Weight And Wellness located?

Nutritional Weight And Wellness is located at 45 Snelling Ave N, Saint Paul, MN 55104. The listed phone number is (651) 699-3438.

What is Nutritional Weight And Wellness's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nutritional Weight And Wellness enrolled in Medicare?

Yes. Nutritional Weight And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutritional Weight And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Nutritional Weight And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutritional Weight And Wellness was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.